After your billing profile is ready, create an Enrollment so Allia can send claims and receive payments through the payer connection.
Enrollment types
Allia supports three related enrollment processes:
Type | What it is | Who handles it |
Credentialing | Verifying your license and qualifications. | You (Directly with Payer) |
Payer Enrollment | Registering to be "In-Network." | You (Directly with Payer) |
Transaction Enrollment | Connecting Allia/Stedi to the payer system. | Allia & Stedi |
Important: Complete credentialing and payer enrollment directly with the payer before requesting transaction enrollment through Allia and Stedi.
Create an enrollment
To create an enrollment:
Search for and select the payer.
Select the Billing Profile that matches your contract with that payer.
Select Submit to send the request to Stedi.
Note: If you use more than one billing profile, choose the one that matches the payer contract.
Add CPT codes and rates
After submitting the enrollment, add the contracted rates Allia should expect for each service:
CPT Codes: Add each procedure code included in your contract, such as 90837 for a 60-minute therapy session.
Contracted Rates: Enter the amount agreed to during payer enrollment or contracting.
Track enrollment status
DRAFT: You are still editing the request.
STEDI_ACTION_REQUIRED: The request is queued for processing.
PROVISIONING: The request was sent and the payer is reviewing it. This can take 2 to 6 weeks.
PROVIDER_ACTION_REQUIRED: The payer needs a signature or document from you.
LIVE ✅: You can begin submitting claims.
REJECTED ❌: The request failed, usually because information did not match.
Get help
If an enrollment remains in PROVISIONING for more than 4 weeks, or you need help understanding repeated rejections, contact support@allia.health.